Individual
BRIAN GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-7462
(330) 363-7679
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.343001
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020388
OH
Other
Enumeration date
08/17/2021
Last updated
10/29/2021
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